Required fields are marked with asterisks (*)

Teen Citizens’ Academy Application

Academy Dates:

October 15, 2026, from 8:30 a.m.-3:00 p.m. at Fire Station 2
October 16, 2026, from 8:30 a.m.-3:00 p.m. at Ramsey Police Department

Student Name

First Name

Middle Name

Last Name

Email Address

Address

City

State

Zip Code

Phone Number

Date of Birth

What high school do you attend?

What grade are you in?

9th

10th

11th

12th

Parent/Guardian Information

Name

Email Address

Address

City

State

Zip Code

Phone Number

Tennessen Warning

The information requested on your application is private data and may be released only to you (MS.13.04 Sub 2.). Private data contained include:

Name: Must provide your full name. This is used to identify you from other applications. Also used in background checks. Failure to do so may result in delayed processing or rejection of the application.
Local/permanent address/home telephone: Used to identify you from other applications. You are not required to provide this information; however, failure to do so may delay the processing of your application and the communication of program information.
Date of birth: Used for background investigation and to check age requirements for the program. Failure to do so may result in rejection of your application.
Email Address: Used for communicating program information to you.

Only Ramsey staff are authorized to receive the data contained in this application.

I hereby certify that all answers to the above questions are true and I agree and understand that any false statements contained in the application may cause rejection of this application. I am aware that the above information will be used in obtaining a criminal history.

Student Signature

Clear

Parent/Guardian Signature

Clear

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